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GPs face vaccine shortages as bird flu prompts panic

Further to Dr Goldsmith's letter (24 September), Professor Tony Hale has demonstrated, at least in Kent, that the delivery of computerised CBT still requires people to be trained in CBT who can support and supervise this intervention.

I am not convinced that CBT should be the 'only fruit', any more than previous pharmacological interventions have been hailed to be.

There are other interventions too. Take a look at Media Innovations' Calipso product for depression. This is based on exactly the same principles and the verified work of Dr Chris Williams.

Like many other interventions that work in day-to-day practice, it probably did not figure on the NICE radar because the company does not have the millions of pounds necessary to do randomised controlled trials.

Beware evidence-based medicine: if you don't have the funding for RCTs, you can't even generate the evidence.

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